Klinik kesihatan in Gombak, Hulu Langat, Ipoh, Johor Bahru, and KL will extend operating hours under MOH’s pilot project after HTAR reports a 54% decrease in green zone patients.
Dr Zaliha Mustafa says MOH has requested JPA approval to expand doctors' locum allowances to Sun and public holidays, and to expand the allowance to pharmacy and science officers. Klinik Kesihatan Bandar Botanik began extended hours daily from March 25.
In the STAR pilot project to decongest EDs that started March 25, Klinik Kesihatan Bandar Botanik in Klang has extended its operating hours until 9.30pm every day (including Sat, Sun, public holidays), offering medical exams, lab tests, X-ray imaging too.
In a circular dated March 8, 2023, issued by the Family Health Development Division, a staff member on duty for a longer period “will still be paid for only four hours”. The operating hours have been extended from 5pm to 9.30pm at 52 klinik kesihatan.
Health care workers at government health clinics claim they are not being fully paid for working extended hours. Health Minister Dr Zaliha Mustafa says the matter is under MOH review and is being refined with JPA.
MMA says while Klinik Kesihatan extended hours may be a “quick fix”, a sustainable solution is to outsource public hospital emergency department Green Zone cases instead to private GP clinics under the Madani Medical Scheme. MMA wants an update on this.
MOH has implemented extended hours at 52 klinik kesihatan nationwide (except Terengganu and Labuan) to decongest emergency departments, despite previous criticisms by doctors against Health Minister Dr Zaliha Mustafa's proposal due to staff shortages.
A primary care medical officer working in a klinik kesihatan in Selangor says introducing multiple programmes that are similar to existing ones, but with a new label, stretches existing staff to their limits without additional workers for extra programmes.
In a Feb 9 meeting with Health Minister Dr Zaliha Mustafa, instead of approving MOH's plan to expand klinik kesihatan extended hours, JPA ordered MOH to halt the service currently provided at certain clinics on Sundays and public holidays, and beyond 12pm on Saturdays, to avoid paying staff allowances.
A senior MO working at a klinik kesihatan in Sabah – who had to buy his own otoscope for RM600 for work – describes his work burden as “hell” and says a KFC Snack Plate has nearly doubled in price over the years, but doctors’ wages remain stagnant.